Healthcare Provider Details

I. General information

NPI: 1104850791
Provider Name (Legal Business Name): MEGA CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 01/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 ROCK AVE
GREEN BROOK NJ
08812-2616
US

IV. Provider business mailing address

54 NEWCOMBE ST
BELLEVILLE NJ
07109-1236
US

V. Phone/Fax

Practice location:
  • Phone: 732-424-5225
  • Fax: 732-968-7963
Mailing address:
  • Phone: 973-450-2908
  • Fax: 973-844-4705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number061805
License Number StateNJ

VIII. Authorized Official

Name: DAVID SWEENEY
Title or Position: CFO
Credential:
Phone: 908-851-8355